Abstract
BackgroundThis is a rare case of removing an intra-arterial foreign body represented by MynxGrip polyethylene glycol (PEG) sealant as a rare complication of using the MynxGrip™ Vascular Closure Device (AccessClosure, Inc., Mountain View, CA) using a pRESET stent retriever (Phenox, Bochum, Germany) which is utilized mainly for treatment of endovascular stroke.Case presentationA 60-year-old female patient suffering from intermittent claudication in the right lower limb (stage IIb according to Fontaine) due to a peripheral arterial occlusive disease was presented for an elective revascularization using balloon angioplasty of a short chronic occlusion of the right superficial femoral artery. After a successful revascularization of the right superficial femoral artery using a retrograde femoral access from the left common femoral artery, the patient suffered from an acute limb ischemia in the left foot with distal popliteal embolization with involvement of BTK (below the knee) trifurcation. This is believed to be due to an intra-arterial foreign body embolism of MynxGrip polyethylene glycol sealant as a rare complication of using the MynxGrip™ Vascular Closure Device.ConclusionsStent retrievers have been used previously in removing dislocated coils especially in the cerebral vessels. This case report however proves a high efficacy and safety of using stent retrievers in removing different and rather unusual intra-arterial foreign bodies such as MynxGrip polyethylene glycol sealant.
Highlights
The MynxGripTM Vascular Closure Device (AccessClosure, Inc., Mountain View, CA) is nowadays a widely spread used and safe active closure device, which is the generation of the previously known passive closure device namely the MynxTM Vascular Closure Device (Thai and Weinstock 2012; Fields et al 2010)
The Grip Tip and the Mynx sealant together form the MynxGrip sealant, which reacts to the pH level and the body temperature once deployed below the level of the skin
One of those quite rare but rather severe complications was accidentally pushing the Mynx sealant into the artery during application of the device resulting in a distal foreign body embolization with signs and symptoms of an acute limb ischemia (Fields et al 2010; Gupta et al 2012)
Summary
Stent retrievers have been used previously in removing dislocated coils especially in the cerebral vessels.
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